Provider Demographics
NPI:1578184065
Name:LINDSAY, KATHRYN KAY (MSN, APRN-BC, AGPCNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:KAY
Last Name:LINDSAY
Suffix:
Gender:F
Credentials:MSN, APRN-BC, AGPCNP
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:KAY
Other - Last Name:ENGLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:SAINT LOUIS UNIVERSITY DEPT OF SURGERY
Mailing Address - Street 2:3635 VISTA AVE 3DT
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110
Mailing Address - Country:US
Mailing Address - Phone:314-577-8460
Mailing Address - Fax:314-577-8370
Practice Address - Street 1:SAINT LOUIS UNIVERSITY DEPT OF SURGERY
Practice Address - Street 2:3635 VISTA AVE 3DT
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110
Practice Address - Country:US
Practice Address - Phone:314-577-8460
Practice Address - Fax:314-577-8370
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016029250364SG0600X, 363L00000X, 364SA2200X
MO143312163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health